Organization Active NPI

Assured Medical LLC

  • Adult Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1487236030
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ASSURED MEDICAL LLC
Practice address
18741 NW 24TH CT
Pembroke Pines, FL 33029-5352
Phone
(954) 790-2410
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Patino, APRNNPI 1053895078
Title
MGR
Phone
(954) 790-2410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

18741 NW 24TH CT
Pembroke Pines, FL 33029-5352

Mailing address

18741 NW 24TH CT
Pembroke Pines, FL 33029-5352
Phone (954) 790-2410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1487236030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18741 NW 24TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295352",
            "telephone_number": "954-790-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18741 NW 24TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295352",
            "telephone_number": "954-790-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-790-2410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.